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Investigation of Pre-hospital First Aid on Community Service Workers and Study on the Optimum Training Program

Author: PuXiaoZuo
Tutor: XiShuHua；ZhouLi；LuGenZuo；ZhangXiaoPing；LiZuo
School: Second Military Medical University
Course: Nursing
Keywords: Community service personnel Pre-hospital emergency Training programs
CLC: R197.2
Type: Master's thesis
Year: 2010
Downloads: 369
Quote: 2
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Abstract

Objective to investigate and understand the pre-hospital first aid knowledge and skills of the community service staff known believing, the status quo, and to provide a basis for the development of community service personnel pre-hospital care training programs. According to the survey results, combined with the current situation of the domestic and international public pre-hospital first aid training, to explore the impact of different pre-hospital first aid training program for community service staff training effect, to establish a program for community service personnel training of pre-hospital emergency. Method 1: Survey convenience sampling in September-October 2008, selected Shanghai Laoximen, the Bund, semi-Sung hospital three community 144 community service officers conducted a random survey to understand the community service pre-hospital emergency KAP, line status quo. And community service personnel receive training in the investigation will be divided into no received first aid training (66), received a first-aid training (39), received 2 and first aid training (39 people) group. Intervention programs comparison: in May 2009, a convenience sample of selected old Simon and 91 community service officers of the Bund Community, and random number will be divided into three groups, Group A (31) faculty the theory professor → instructors demonstration → → assessment scene exercises under the guidance of theory professor DVD player → faculty faculty under the guidance of the on-site demonstration → practice → assessment; Group B (30); Group C (30 theory professor → instructor demonstration → instructor on-site practice → Scenario teaching → assessment) DVD player training. In training after a month, three months after the training and then the score of the Red Cross training effect analysis to determine the best training programs and factors may impact on the effectiveness of training. Unified entry of the above data are Excel software and analyzed using SPSS statistical software. Results 1 Survey: (1) In general: the general situation of the three groups of personnel was no significant difference (P lt; 0.05). (2), we know that the correct approach: the three groups for the treatment of common pre-hospital emergency situations, such as electric shock, gas poisoning, correctly handle the way to master the correct rate of over 70%, and for which communication for help and hospital first aid commonly skills (cardiopulmonary resuscitation, hemostasis, bandaging, fixed handling) to master the correct rate of less than 50%. (3) a letter: (1) more than 77.1% of the community service officers on pre-hospital first aid common techniques and handling of emergency situations the demand degree choice choose the more urgent and very urgent. 85.4% of the community service that is necessary, and it is necessary to grasp the common first aid knowledge and skills. 94.4% of staff that carry out knowledge of first aid training for the most part and even the health of the residents of the community as a whole have a positive impact in the community service agencies. ② three groups of training time, teacher training, and training in the form of demand were not statistically different. (4) line: ① encounter emergency situations when the three groups selected preferred behavior have a significant difference (P lt; 0.05). (2) exclude training factors, three groups of first aid knowledge sources was no significant difference (P gt; 0.05). Intervention programs comparison was not statistically significant (P gt; 0.05): (1) three groups of community services staff in general before training. (2) pre-training knowledge and skills scores was not statistically significant (P gt; 0.05), but the theoretical results were higher than the pre-training operation achievements. ③ repeated measures analysis of variance, grouping different approach to training in cardiopulmonary resuscitation and bandaging two showed no statistical difference (P gt; 0.05), on the other assessment projects showed a statistically significant difference (P lt; 0.05); the same time, the results also show a significant difference (P lt; 0.05) a different time to assess the effectiveness of training. ④ each time point analysis of variance showed that immediately after the training and the training after a month, the results of the three groups of community services staff was not statistically significant (P gt; 0.05), but three months after three sets of scores presented in the training a significant difference (P lt; 0.05). ⑤ training immediately after training a month after the three months after the training total average score of the dependent variable to do multiple linear regression analysis, the results show that the training methods of management, education level, Group B, Group C training training immediately after the overall average score, the overall average score for a month after the training and the dependent variable above correlation. Conclusion community service officer for the treatment of common pre-hospital emergency situations much better grasp of the state of polarization; showing a mastery of the different pre-hospital first aid (that is part of the much better grasp of knowledge, but part of the master the poor); For the common poor pre-hospital emergency care skills to master. 2. Community service staff training needs and wishes. The 16 hours as our culture is certified emergency response time, so as to form a unified standard, in order to facilitate the establishment of our pre-hospital emergency care training system. 4. Specification faculty to create two, three hospital staff, 120 ambulance personnel, medical schools engaged in the emergency teaching staff mainly theoretical Professor, Community Health Center medical staff main site practical instruction the trapezoidal training teachers. Pre-hospital first aid training can effectively improve community services staff pre-hospital first aid knowledge and skills, the training effectiveness of training programs of the Group C, suitable for promotion in the community service agencies. 6 is recommended in order to reduce the forgotten impact again training in cardiopulmonary resuscitation in training after a month of community service, three months after the training of pre-hospital first aid refresher training for all the knowledge and skills to improve the effectiveness of training. Community service personnel pre-hospital first aid training by a variety of factors, including trainees factors such as education, training whether the object managers and training methods; when trained object managers can play a positive and leading role , so we can take advantage of the training.

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